When Not to Use Succinylcholine for Drug Assisted Intubation (also called Rapid Sequence Intubation) for Trauma Patients from Advanced Trauma Life Support*

Drug Assisted Intubation (also called Rapid Sequence Intubation) makes use of a sedative (etomidate is a good choice in the trauma patients) and a paralytic (succinylcholine, vecuronium, or rocuronium) to facilitate emergency endotracheal intubation.

“Because of the potential for severe hyperkalemia, succinylcholine must be used carefully in patients with severe crush injuries, major burns, and electrical injuries. Particular attention must be paid in cases of preexisting chronic renal failure, chronic paralysis, and chronic neuromuscular disease.”*